Form ID

Publication date

Location of premises

Certificate

Resurfacing Phase I, Contract 99-05.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
City of Burlington.
Address of Owner
City Hall, 426 Brant St., Burlington, ON.
Name of Contractor
Capital Paving Inc.
Address of Contractor
P.O. Box 815, Guelph, ON N1H 6L8
Name of Certifier
Ken Pilatzke
Address of Certifier
City Hall, 426 Brant Street, Burlington, ON.

Office to which claim for lien must be given to preserve lien

City Hall, 426 Brant St., Burlington, ON.